<html>
    <head>
        <meta charset="UTF-8">
        <title>户学教育</title>
        <meta name="keywords" content="户学教育">
        <meta name="Description" content="户学教育"/>
        <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0,  user-scalable=0;"/>
        <link rel="stylesheet" href="{HOME_THEME_PATH}../gw/css/common.css?t={time()}.{rand(10000,9999999)}">
        <link rel="stylesheet" href="{HOME_THEME_PATH}../gw/css/register.css?t={time()}.{rand(10000,9999999)}"/>
        <link rel="stylesheet" href="{HOME_THEME_PATH}../gw/css/poup_register_info.css?t={time()}.{rand(10000,9999999)}"/>

        <script type="text/javascript"t src="{THEME_PATH}js/jquery.min.js?t={time()}.{rand(10000,9999999)}"></script>
        <script type="text/javascript"t src="{THEME_PATH}js/dialog-plus.js?t={time()}.{rand(10000,9999999)}"></script>
        <script type="text/javascript" src="{THEME_PATH}js/jquery.artDialog.js?t={time()}.{rand(10000,9999999)}&skin=default"></script>
        <script type="text/javascript" src="{THEME_PATH}js/dayrui.js?t={time()}.{rand(10000,9999999)}"></script>
        <script type="text/javascript" src="{HOME_THEME_PATH}../gw/js/le_include_head.js?t={time()}.{rand(10000,9999999)}"></script>
        <link rel="icon" href="{HOME_THEME_PATH}../gw/img/f-logo.png" type="image/png" sizes="16x16">
    </head>
    <body>
        <div class="main">
            <div class="part part2">
                <div class="part-cont">
                    <form method="post" action="" id="register_info" class="poup_register_info">
                        <input type="hidden" name="mobile" value="{$data['mobile']}"/>
                        <input type="hidden" name="code" value="{$data['code']}"/>
                        <input type="hidden" name="back" value=""/>
                        <div class="le_name">
                            <input type="text" class="input-item input-name" name="name" placeholder="姓名">
                            <div class="le-error-message "></div>
                        </div>
                        <div class="le_grade">
                            <div class="input-wrap">
                                <select class="select-item" name="grade">
                                    <option value="">年级</option>
                                    <option value="初一">一年级</option>
                                    <option value="初一">二年级</option>
                                    <option value="初一">三年级</option>
                                    <option value="初一">四年级</option>
                                    <option value="初一">五年级</option>
                                    <option value="初一">六年级</option>
                                    <option value="初一">初一</option>
                                    <option value="初二">初二</option>
                                    <option value="初三">初三</option>
                                    <option value="高一">高一</option>
                                    <option value="高二">高二</option>
                                    <option value="高三">高三</option>
                                </select>
                                <div class="select-dic"></div>
                            </div>
                            <div class="le-error-message "></div>
                        </div>
                        <div class="le_subject">
                            <div class="input-wrap">
                                <select class="select-item" name="subject" >
                                    <option value="">目标学科</option>
                                    <option value="数学">数学</option>
                                    <option value="语文">语文</option>
                                    <option value="英语">英语</option>
                                    <option value="物理">物理</option>
                                    <option value="化学">化学</option>
                                    <option value="生物">生物</option>
                                </select>
                                <div class="select-dic"></div>
                            </div>
                            <div class="le-error-message "></div>
                        </div>
                        <div class="le_success">
                            <div class="form-btn form-btn2 register_submit">提交</div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </body>
    <!--<script src="{HOME_THEME_PATH}../gw/js/iscroll.js?t={time()}.{rand(10000,9999999)}"></script>-->
    <script src="{HOME_THEME_PATH}../gw/js/register_addInfo.js?t={time()}.{rand(10000,9999999)}"></script>
</html>
